Organization
MCDANIEL DERMATOLOGY, LLC
Active
Other names
McDaniel Dermatology and Skin Surgery Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIANNA MCDANIEL DO (OWNER)
(601) 810-2466
Entity
Organization
Contact information
Practice address
109 NEW CAMELLIA BLVD STE 200, COVINGTON, LA 70433-7829
(985) 277-5463
Mailing address
109 NEW CAMELLIA BLVD STE 200, COVINGTON, LA 70433-7829
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
01/26/2021
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